Divorce Questionnaire

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Petitioner's information / party initiating the case

Name

*ENTER YOUR COMPLETE CURRENT LEGAL NAME AS IT APPEARS ON YOUR IDENTIFICATION*

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number

Date of Birth

Social Security Number

Social security number will need to be disclosed when signing.

Place of Employment

Employment Address

Address Line 1

Address Line 2

City

State

Zip Code

Occupation

How often are you paid?

What was your individual income last year?

Is your gross annual individual income over $50,000?

SPOUSE’S INFORMATION

Name

First

Middle

Last

*ENTER YOUR NAME EXACTLY AS IT APPEARS ON YOUR DRIVER LICENSE

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number

Date of Birth

Social Security Number

Social security number will need to be disclosed when signing.

Place of Employment

Employment Address

Address Line 1

Address Line 2

City

State

Zip Code

Occupation

How often are you paid?

What was your individual income last year?

Is your gross annual individual income over $50,000?

Date of Marriage

Date you started living separately

City, County, and State of Marriage

Wife's Maiden Name

Will Maiden Name be Resotred?

CHILDREN INFORMATION

If you and your spouse have children together, fill out the information below.

First Childs Full Legal Name

First

Middle

Last

Gender

City and State of Birth

Date of Birth

Social Security Number

Social security number will need to be disclosed when signing.

List the addresses the child has lived at for the past five years. Include a date for each address.

Second Childs Full Legal Name

First

Middle

Last

Gender

City and State of Birth

Date of Birth

Social Security Number

Social security number will need to be disclosed when signing.

List the addresses the child has lived at for the past five years. Include a date for each address.

Third Childs Full Legal Name

First

Middle

Last

Gender

City and State of Birth

Date of Birth

Social Security Number

Social security number will need to be disclosed when signing.

List the addresses the child has lived at for the past five years. Include a date for each address.